334830482-7-8-2021-09-CC-DHOE-C4R5XD-20210708202035

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334830482
Report Date: 07/08/2021
Date Signed: 07/08/2021 08:20:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA		FACILITY NUMBER:	334830482
ADMINISTRATOR:	FUENTES, AUBREE		FACILITY TYPE:	840
ADDRESS:	19743 LURIN AVENUE		TELEPHONE:	(951) 653-6688
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92508
CAPACITY:	30	CENSUS: 26	DATE:	07/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Director Janice Wilson		TIME COMPLETED:	03:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 07/08/2021 at 08:50am, Licensing Program Analyst (LPA) Destinee Hogue conducted a required annual inspection as part of a compliance review. A tour of the inside and outside of the facility was granted and the following was observed and discussed with Director, Janice Wilson: A review of the staff records and a sampling of the children's records was conducted as part of this evaluation. · ZERO TOLERANCE - There are no bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position. · ZERO TOLERANCE - No weapons stored at the facility · Hazards are stored where inaccessible to children which include: disinfectants, cleaning solutions and other items that are dangerous to children. · Poisons and toxins are locked · Medications are stored where inaccessible to children · Classrooms are equipped with age appropriate furniture and equipment in good condition · Outdoor activity areas are supplied with age and size appropriate equipment in good condition · Playgrounds are enclosed by appropriate fences and free of hazards · The surface of the outdoor activity space is free of hazards. LPA observed wood chips surrounding the outdoor play space. · All toilets, handwashing, and bathing facilities are in safe and operating condition, at this time. · All floors were observed to be clean and free from hazards · Food preparation area is clean and free of vermin · Food is stored appropriately and protected from contamination · All storage containers for solid waste, including moveable bins have tight-fitting covers that were on and in good repair, at this time. · The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA	FACILITY NUMBER: 334830482
	VISIT DATE: 07/08/2021

NARRATIVE

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· The Licensee shall ensure the facility is free of flies, other insects and rodents.
· Appropriate carbon monoxide detector is present and was tested by the Director during this inspection.
· Director understands the Child Care Center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
· ZERO TOLERANCE - The Department has inspection authority as specified in Health & Safety Code sections 1596.852, 1596.853, and 1596.8535.
· The Department shall notify a Licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The Licensee shall comply with the notice.
· The facility is operating within the terms of the license.
· A review of staff records on 07/08/2021 indicates that all facility staff or other individuals who require caregiver background checks have not received criminal record and child abuse index clearances or exemptions. See LIC809D for cited deficiencies
· A staff member is present with current Pediatric CPR/First Aid which expires on 04/2022
· Licensee understand the name of the Child Care Center Director or fully qualified teacher(s) designated to act in the Director's absence shall be reported to the Department within 10 days of a change.
· Sign in/Sign out record was reviewed and meets regulation requirements, at this time.
· Each Staff’s files contain the required health screening as specified in section 101216(g). Licensee/Director understands all personnel, including the Licensee, Administrator and Volunteers, shall be in good health and shall be physically and mentally capable of performing assigned tasks.
· Personnel that pose a threat to the health and safety of children shall be relieved of their duties.
· All personnel shall be given on-the-job training…or shall have related experience that demonstrates knowledge of and skill in…housekeeping and sanitation principles, including universal health precautions.
· The Licensee/Director shall not exceed the conditions, limitations and capacity specified on the license.
· ZERO TOLERANCE - Appropriate supervision was provided during this inspection. Licensee/Director understands no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time.
· Ratios were met during this inspection. Licensee/Director understands there shall be a ratio of one Teacher supervising no more than 14 children in attendance or one Teacher and one Aide present to every 28 children in attendance.
· Licensee/Director shall ensure that each child is accorded a safe, healthful and comfortable accommodations, furnishings and equipment to meet the child's needs.
· The Licensee/Director is responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA	FACILITY NUMBER: 334830482
	VISIT DATE: 07/08/2021

NARRATIVE

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· The facility is equipped to isolate and care for any child who becomes ill during the day. The Directors office will be used as an isolation area for ill children.
· Each child’s file contains the required identification and emergency information and medical assessment.
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized
· Renewed AB1207 Mandated Child Abuse Reporter training not on file. An Advisory Note-Technical Violation was issued during this inspection.
· Review of staff records contains proof staff are immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year
· Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514- 0383 (TTY) and link to publication : Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

· The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov
· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· The Duty Officer is available to answer questions Monday – Friday from 8:00am to 5:00pm at (951)782-4200
· Access to forms & Regulations for a Child Care Center are online at www.cdss.ca.gov.

An exit interview was conducted and during the interview, Director, Janice Wilson confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

See LIC809D for cited deficiencies
A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS ALONG WITH A COPY OF ALL TYPE A DEFICIENCIES (LIC809D/9099D) CITED DURING THIS INSPECTION. A COPY OF ALL TYPE A DEFICIENCIES CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS. Appeal rights were provided and discussed. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA	FACILITY NUMBER: 334830482
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/08/2021 Section Cited	1 2 3 4 5 6 7	Criminal Record Clearance. (e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPA's review of facility associations, LPA observed an outside vendor instructor present and alone with children in Classroom #3. Staff #1 has a criminal record clearance, however the Licensee/Director did not request a criminal record transfer request prior to Staff #1 working or being present at the facility. This poses an immediate health, safety, and personal rights risk to children in care.	8 9 10 11 12 13 14	fingerprint response, and LIC508-Criminal Record Statement during this inspection. Future association/disassociation request can be done by utilizing Guardian and/or email: Associations_Disassociations862@dss.ca.gov Deficiency cleared during this inspection.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC809 (FAS) - (06/04)

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